<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20201221049782N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-04-16</date_registration>
      <primary_sponsor>Pharmachemie pharmaceutical factory</primary_sponsor>
      <public_title>Loratadine in treating irritable bowel syndrome</public_title>
      <acronym></acronym>
      <scientific_title>Clinical efficacy and safety of loratadine in treating irritable bowel syndrome with predominant diarrhea</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2021-02-28</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>100</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/53859</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients with IBS-D are randomly divided into a Loratadine group and a control group. random allocation process is done by permuted block randomization. 
25 Blocks (with 4 subjects per block and AABB permutations) is made by Randomization.com Website and placed on the same drug packages by coding.
Letters A and ‌B, the intended permutation and other required information are entered in randomization website.
100 phrases with letters A or B are achieved, which randomly indicate Who should take loratadine and who should take placebo from the first to the hundredth patient,(A=loratadine ,B=placebo), Blinding description: This is a randomized controlled trial (RCT),
In this study, participants, the main researcher, clinicians, the data collector,  and the Data Safety and Monitoring Committee are blinded.
Participants are asked by the blinded clinician to eat the drug . All of the drugs are packaged the same, but some are the Loratadine tablets while others are Placebos.
The blinded data collector collects data from patients every 2weeks.
In the end, the Data collected from both groups are analyzed by data analysts.</study_design>
      <phase>3</phase>
      <hc_freetext>Irritable bowel syndrome with diarrhea.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The patients in the Loratadine group receive Loratadine tablets(10mg, oral) made by Pharmachemie pharmaceutical company once daily for 4-6 weeks (if patients do not response to the treatment the dose will be increased to 10mg twice daily), also they receive  routine therapeutic regimen of IBS-D (Amitriptyline 10mg, Loperamide and diphenoxylate). Intervention 2: Control group: Patients in the control group receive oral Placebo made by Pharmachemie pharmaceutical company once daily for 4-6 weeks. also they receive routine therapeutic regimen of IBS-D (Amitriptyline 10mg, Loperamide and diphenoxylate).</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is Lake of time</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fatere seyedalipour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Medicinal Care unit, first floor, Babol university of medical science, Ganjafrooz street, babol</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4717641367</zip>
        <telephone>+98 11 3223 8301</telephone>
        <email>f_seyedalipour@yahoo.com</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Fatere seyedalipour</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Medicinal Care unit, first floor, Babol university of medical science, Ganjafrooz street, babol</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4717641367</zip>
        <telephone>+98 11 3223 8301</telephone>
        <email>f_seyedalipour@yahoo.com</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Patients with IBS-D
Age between 18 and 65
No abnormalities on physical examination
Routine CBC
No abnormalities observed by Sigmoidoscopy
Normal thyroid function
Negative routine stool examinations</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Diabetes
Renal impairment
Cardiovascular disorders
Psychiatric disorders
Colitis
Celiac disease
Use of drugs that affect the digestive system
Use of Analgesics
Use of Antihistamines
Loratadine intolerance</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K58.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Irritable bowel syndrome with diarrhea</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The patients in the Loratadine group receive Loratadine tablets(10mg, oral) made by Pharmachemie pharmaceutical company once daily for 4-6 weeks (if patients do not response to the treatment the dose will be increased to 10mg twice daily), also they receive  routine therapeutic regimen of IBS-D (Amitriptyline 10mg, Loperamide and diphenoxylate).</i_keyword>
      <i_keyword>Control group: Patients in the control group receive oral Placebo made by Pharmachemie pharmaceutical company once daily for 4-6 weeks. also they receive routine therapeutic regimen of IBS-D (Amitriptyline 10mg, Loperamide and diphenoxylate).</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Diarrhea Frequency. Timepoint: before treatment and 14, 28, 42 and 56 days after beginning of treatment. Method of measurement: questionnaire.</prim_outcome>
      <prim_outcome>Severity of pain. Timepoint: before treatment and 14, 28, 42 and 56 days after beginning of treatment. Method of measurement: questionnaire.</prim_outcome>
      <prim_outcome>Abdominal pain frequency. Timepoint: before treatment and 14, 28, 42 and 56 days after beginning of treatment. Method of measurement: questionnaire.</prim_outcome>
      <prim_outcome>Defecation urgency. Timepoint: before treatment and 14, 28, 42 and 56 days after beginning of treatment. Method of measurement: questionnaire.</prim_outcome>
      <prim_outcome>Bloating. Timepoint: before treatment and 14, 28, 42 and 56 days after beginning of treatment. Method of measurement: questionnaire.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Quality of life score. Timepoint: before treatment and 14, 28, 42 and 56 days after beginning of treatment. Method of measurement: Irritable bowel syndrome-Quality of life questionnaire(IBS-QOL).</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Pharmachemie pharmaceutical factory</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-01-30</approval_date>
        <contact_name>Ethics committee of babol university of medical sciences</contact_name>
        <contact_address>Babol university of medical sciences, Ganjafrooz street, babol Babol Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
